National Provider Identifier

Brooke Elizabeth Warren, M.S., CCC-SLP/L

Brooke Elizabeth Warren, M.S., CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 924-3252.

NPI 1265701221Victor, NYSpeech-Language Pathologist

Profile Overview

NPI
1265701221
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 21, 2011
Last Updated
June 22, 2021

Practice Location

  • 953 High St
  • Victor, NY 14564-1168

Phone: (585) 924-3252

Mailing Address

  • 143 N Pearl St
  • Canandaigua, NY 14424-1430

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1265701221
Entity Type
Individual
Last Name
Warren
First Name
Brooke
Middle Name
Elizabeth
Name Prefix
MS.
Credential
M.S., CCC-SLP/L
Mailing Street Address
143 N Pearl St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1430
Mailing Country
US
Mailing Phone
(585) 507-7778
Practice Street Address
953 High St
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1168
Practice Country
US
Practice Phone
(585) 924-3252
Practice Fax
(585) 742-7031
Enumeration Date
December 21, 2011
Last Updated
June 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
June 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)